Medicaid

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    Gruber vs. Goodman Gruber and Goodman are two economist that are trying to help the public understand exactly what is going on in the Health care economy. They both feel that they have a grasp on exactly what is going to fix the situation, but their ideas are vastly different. Each thinks a different party should be in charge. Summaries Both of these economists have ideas about what would help fix the health care issues. Their books are filled with their ideas on what patients, doctors,…

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    In the healthcare system there are different career fields that Logan is interested in. The first choice that he really wants to go into is a Biomedical Laboratory and Epidemiologist. The type of Biomedical Laboratory Scientist he wants to go in is Virology. This career is to identify Viruses, looking at certain diseases and testing Vaccines. The Epidemiologist side of the career field is study outbreaks and find where the “hotspot” of the infection occurred. This job also brings out how the…

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    would lose everything. In 1998, Linda and John divorced, and she quit her job to qualify for government assistance. He stayed in their house while she and their two children moved into government subsidized housing. She was then able to obtain Medicaid and begin her…

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    The Affordable Care Act was a reform set by Barack Obama. This act was created in order to help individuals take care of themselves by improving the access to health care services. This act was meant to help reduce premium cost for many working families by being able to provide families with billions of dollars in tax relief. Another thing that the act reduces is the number of cash expenses that families used to have to pay from out of pocket expenses. The Affordable Care Act requires hospitals…

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    below. The Michigan Public Act 593 of 2006 (MCL 550.283) was effective on January 3rd 2007 allowed the State of Michigan the ability to identify and recuperate disperses payments from third parties that should always pay medical expenses primary to Medicaid. In order to identify beneficiaries that are enrolled in both the State’s Medical Assistance Program and other medical assistance policies or programs, the Michigan Department of Health and Human Services works directly with other payers to…

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    to derail its implementation. In addition, after a 2012 U.S. Supreme Court ruling allowed states to opt out of Medicaid coverage expansion, many Republicans states have refused to expand Medicaid. In Alaska, where the governor has expanded Medicaid, the Republican legislature is now suing him to stop the expansion (Forgey 1). This comes amid fears among pro-life organizations that Medicaid expansions like Alaska’s will increase abortion rates…

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    mortgage arena, the act amends the federal criminal code to include appropriations to the Attorney General to investigate and prosecute false or fraudelent claims for payment by the federal governement. This includes defrauding both Medicare and Medicaid programs and expands the False Claims Act (FCA) (Congress, 2009). The bill received support from the Obama Administration, the FBI, and the OIG, although there is some debate whether an organization must knowingly retain improper payments as…

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    Misinformation on Abortion “Ripping a baby out at 9 months is horrible, and Hillary wants that to be legal!” is a comment made by the Presidential elect Donald Trump during the last presidential debate that has the taken the internet by storm. Trump made this comment on live television with millions of viewers, giving him the platform to misinform a massive audience on late-term abortions. Using rhetoric about this medical procedure is what perpetuates stereotypes. Unraveling these hyperboles…

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    response to complaints against nursing homes (American Association of Retired Persons, 2001). If the survey reveals that a nursing home is out of compliance, sanctions including, but not limited to civil monetary penalties, denial of Medicare and Medicaid payment, and termination of provider agreement may be imposed to rectify deficiencies. Although there have been great advances in laws and regulations of nursing homes in the United States within the last several decades, methods of monitoring…

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    Managed Care Analysis

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    Managed health care has made significant contributions to the health care delivery system. There is documentation of what is now termed health maintenance organizations or HMOs as early as the early1900’s. Health maintenance organizations, preferred provider organizations (PPO) and point of service plans (POS) are the most familiar types of managed care plans. The beginning of these plans came about because providers wanted to maintain and enhance patient revenues. What started out as a simple…

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